INTESTINE Vol.12 No.4(1-3)


特集名 NBI/FICEとpit pattern
題名 NBI/FICE拡大観察と通常拡大観察の住み分け (3) 大腸腫瘍診断におけるFICEの有用性
発刊年月 2008年 07月
著者 若林 直樹 京都府立医科大学大学院医学研究科消化器内科学
著者 井上 健 京都府立医科大学大学院医学研究科消化器内科学
著者 森本 泰隆 京都府立医科大学大学院医学研究科消化器内科学
著者 柏 敦文 京都府立医科大学大学院医学研究科消化器内科学
著者 長谷川 大祐 綾部市立病院消化器内科
著者 吉田 直久 市立奈良病院消化器科
著者 光藤 章二 京都九条病院消化器内科
著者 吉川 敏一 京都府立医科大学大学院医学研究科消化器内科学
【 要旨 】 要旨はありません。
Theme Narrow Band Imaging (NBI) / Fuji Intelligent Color Enhancement (FICE) and pit pattern in colon and rectum
Title Qualitative diagnosis of colorectal tumors using Fuji Intelligent Color Enhancement (FICE) magnifcation
Author Naoki Wakabayashi Department of Molecular Gastroenterology and Hepatology, Post Graduate School of Medicine, Kyoto Prefectural University of Medicine
Author Ken Inoue Department of Molecular Gastroenterology and Hepatology, Post Graduate School of Medicine, Kyoto Prefectural University of Medicine
Author Yasutaka Morimoto Department of Molecular Gastroenterology and Hepatology, Post Graduate School of Medicine, Kyoto Prefectural University of Medicine
Author Atsufumi Kashiwa Department of Molecular Gastroenterology and Hepatology, Post Graduate School of Medicine, Kyoto Prefectural University of Medicine
Author Daisuke Hasegawa Department of Gastroenterology Ayabe City Hospital
Author Naohisa Yoshida Department of Gastroenterology Nara City Hospital
Author Shoji Mitsufuji Department of Gastroenterology Kyoto Kujo Hospital
Author Toshikazu Yoshikawa Department of Molecular Gastroenterology and Hepatology, Post Graduate School of Medicine, Kyoto Prefectural University of Medicine
[ Summary ] The clinical usefulness of the Fuji Intelligent Color Enhancement (FICE) magnificafion system for qualitative diagnosis of colorectal tumors is assessed.
FICE magnification easily detects dilated micro-vascular structures on the tumor surface. Based on findings of micro-vascular structure patterns, capillary patterns were terned A, B or C. Type A exhibited no dilated meshed capillary vessels, type B exhibited dilated meshed capillary vessels and type C exhibited destroyed meshed capillary vessel. Each type can be compared with the pit patterns observed with conventional magnification.
FICE magnification is useful in diagnoses of histological findings of colorectal neoplasia and in the diagnosis of invasion depth of colorectal cancer of both the flat elevated type and the protruded type.
Since FICE magnification is a simpler method compared with the conventional magnification with chromogrants, FICE can be a supportive method for the diagnosis of colorectal cancer.
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